18 results
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... Right Ventricular ... RV Overload “D Sign ... #Ultrasound #echocardiogram ... psax #diagnosis #cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... probable inferior STEMI ... , but becomes ventricular ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... ) - BRUGADA SIGN ... INJURY/ICH - VENTRICULAR ... #Differential # ... Diagnosis #Cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... Sustained ventricular ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... catheterization #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... deWinter T waves - starts ... #Ischemia #ECG ... electrocardiogram #cardiology ... Interpretation #differential
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... STEMI on EKG ... - VCU Ultrasound ... #DoubleValve #Sign ... #cardiology #clinical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #differential # ... cardiology #electrocardiogram
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... intrinsic rate (start ... Start pacing. ... bradycardia #diagnosis #differential ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... STE: "Pardee's sign ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram